التفاصيل البيبلوغرافية
| العنوان: |
Delayed Tracheoesophageal Fistula and Refractory Respiratory Failure Caused by Inhalation Burns and Emergency Venovenous ECMO to Facilitate Its Management: A Case Report. |
| المؤلفون: |
Dhanani, Jayesh, Pincus, Jason, Townsend, Shane, Pang, George, Vujcich, Elizabeth, Windsor, Morgan, Reade, Michael C |
| المصدر: |
Journal of Burn Care & Research; May/Jun2023, Vol. 44 Issue 3, p734-739, 6p |
| مصطلحات موضوعية: |
ETIOLOGY of diseases, TRACHEAL fistula, INHALATION injuries, CHEMICAL burns, ADULT respiratory distress syndrome, BODY surface area, INJURY complications |
| مستخلص: |
Acquired tracheoesophageal fistulae are uncommon in burn patients but can occur as a complication of inhalation injury. We report a case of a 30-yr-old male patient presenting after suffering from inhalation and 25% total body surface area burns. On postburns day 14, he developed a massive tracheoesophageal fistula causing refractory acute respiratory failure. Veno-venous extracorporeal membrane (VV ECMO) oxygenation was initiated without systemic anticoagulation via bi-femoral cannulation under transthoracic echocardiography guidance. He underwent successful 5-hr apnoeic ventilation-assisted surgical repair of the fistula via a right posterolateral thoracotomy. ECMO was discontinued after 36 hr, and he was discharged to the ward after 33 d in the intensive care unit. Inhalation burn injury can cause a delayed life-threatening tracheoesophageal fistula. Surgical repair can be successfully performed for this condition. VV- ECMO can be used to facilitate prolonged apnoeic surgery and to manage refractory respiratory failure due to this condition. [ABSTRACT FROM AUTHOR] |
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| قاعدة البيانات: |
Complementary Index |
